Spondyloarthritis & psoriatic arthritis

HLA-B27 status and inflammatory MRI lesions of the sacroiliac joints: a post hoc analysis in patients without axial spondyloarthritis

RMD OpenPublished Post hoc analysis

Authors' conclusion

HLA-B27 status has no significant influence on the occurrence and extent of SIJ lesions in patients with low back pain of non-inflammatory origin in either men or women.

Study context

Population
Non-axSpA patients with chronic low back pain of non-inflammatory origin90 women
Participants
139 patients
Comparison
HLA-B27 positive vs HLA-B27 negative
Primary endpoint
Sex-specific influence of HLA-B27 status on inflammatory and structural SIJ MRI findings (sclerosis, erosion, fat metaplasia, BMO, ankylosis)
Methodological detailstwo readers, χ2 tests and t-tests, regression models
  • Two readers
  • χ2 tests and t-tests
  • Regression models

Primary result

As reported in the abstract

Erosion mean sum score (MSS), no significant difference by HLA-B27 positivity
0.91 vs 0.48; p=0.144
Sclerosis MSS, no significant difference by HLA-B27 positivity
1.65 vs 1.88; p=0.576
Fat metaplasia MSS, no significant difference by HLA-B27 positivity
0.56 vs 0.27; p=0.425
Bone marrow oedema (BMO) MSS, no significant difference by HLA-B27 positivity
0.75 vs 0.59; p=0.460
Ankylosis MSS, no significant difference by HLA-B27 positivity
0.06 vs 0.04; p=0.659

Original publication

HLA-B27 status and inflammatory MRI lesions of the sacroiliac joints: a post hoc analysis in patients without axial spondyloarthritis. RMD Open. Published 22 September 2023. doi:10.1136/rmdopen-2023-003357

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